MD NEURODIAGNOSTIC MGT SVCS NPI 1114478849

NPI Information

NPI: 1114478849
Provider Name: MD NEURODIAGNOSTIC MGT SVCS
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2655 1ST ST STE 250
SIMI VALLEY, CA
ZIP 93065
Phone: (818) 600-1572
Get Directions

MD NEURODIAGNOSTIC MGT SVCS is a neurology psychiatry neurology in Simi Valley, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MD NEURODIAGNOSTIC MGT SVCS NPI is 1114478849. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2655 1ST ST STE 250
SIMI VALLEY, CA
ZIP 93065-574
Phone: (818) 600-1572
Fax: (877) 705-3046

The provider's authorized official is Julio Cantero .
The authorized official title is Medical Director and has the following contact phone number (818) 600-1572.

The enumeration date for this NPI number is 10/18/2016 and was last updated on 10/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	ME94218	FLORIDA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	CA129953	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30990Z	OTHER	FLORIDA	30990Z
2	I47102	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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